Surgery Prep Booklet 072312 pq-1

1
Phone Call Form

Please call:
University Hospital
1500 E. Medical Center
Ann Arbor, MI 48109
866-936-8800
Cardiovascular Center
1500 E. Medical Center
Ann Arbor, MI 48109
866-983-9090
East Ann Arbor
4270 Plymouth
Ann Arbor, MI 48109
734-232-3053
On:
Between: 7:30am - 11:00am 7:30am - 11:00am 7:30am - 9:30am
Leave your name and the phone number where you can be reached
or where a message may be left. Please spell your last name.
A nurse will
call you:
1 business day
before your operation
1 business day
2 business days
Between: 9:30am - 4:30pm 11:30am - 4:30pm 11:00am - 4:30pm
The nurse will tell
you when to stop
eating:
am pm am pm am pm
You should park in: structure P2 or P3 structure P5 surface lot
Check in at:
Surgery time:
Arrival time:
Surgery Family
Waiting Room ID 201
(look for the red column)
4th floor pre-operative
reception desk
reception desk
If you need to
cancel your
operation, call:
Please call your
surgeon too
866-936-8800 866-936-9090 2 days prior,
call 734-232-3053
day of operation,
call 734-232-3054
surgery prep 072312.indd 1 7/23/2012 11:54:01 AM
2
Your Health Care Team
Surgeon Name: Phone:
Anesthesiologist: Phone:
Anesthesiologist: Phone:
Nurse:
Nurse:
Nurse:
Physical Therapist:
Occupational Therapist:
Questions you may want to consider asking before arriving for your operation:
What is my anticipated length of stay?

What kind of anesthesia will I receive and when will I get it?

How long is my surgery scheduled?

How will my family members know where I have been admitted?

Am I going to have drainage tubes or dressings?

Will I be able to drive myself home after my hospitalization?

What can I anticipate needing when home?

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Patient & Family Centered Care
Patient & Family Centered Care is our commitment to delivering high quality health care
that focuses on the needs of the patient and family. Patient & Family Centered Care has
four core concepts:
ignity and Fespect
Collaboration
lnforuation Sharing
Farticipation
We encourage patients and their family to take an active role in their health care. We want
you to feel comfortable and confident asking questions about your care. If you or your
family member has a concern during your stay, please contact your health care team. If a
health care team member is unable to resolve your concern, please contact the Office of
Patient Relations at 734-936-4330.
If your family has an urgent concern regarding your health during your time at the hospital,
a Family Initiated Rapid Safety Team (FIRST) is available 24 hours a day, 7 days a week.
They can be reached by dialing 411 on your hospital phone.
Additional notes and questions:
4
Before your Operation
ring your insurance card
ring a list of all your uedication
including herbal and vitamin supplements
ring a suall suitcase if your are
staying overnight
ring a list of your questions
Arrive at the hospital two hours before
your scheduled surgery time
have a responsible adult to drive you
home (see page 6)
Feuove all jewerly before you arrive
What Not To Do
o not bring uedications with you
o not bring a large suitcase
Leave all valuables at houe
o not wear fragrance products
before coming to the hospital
o not eat or drink anything after
12 midnight the night before your
operation. You can drink water and
clear liquids until two hours before
your check into the hospital
o not wear face or eye uakeup
Presurgery Checklist
What To Do
Wear loose, coufortable clothes and
flat shoes
athe or shower, brush your teeth,
and remove all jewerly before you
leave home
Take your uedications on the uorning
of your surgery if you were told to do
so. You may have water to swallow
your medications
ring any health care records
ring any special equipuent with you
(e.g. tracheostomy supplies, crutches,
spiroueter, CFAF or iFAF uask) and
a list of your settings
5
Clinic Visit
It is important to discuss the details of your operation with your
surgeon before your arrival. At your clinic visit before your surgery,
you will have a physical exam. You will also be asked for your
medical and surgical history. Please be prepared to list all of your
medications including herbals, vitamin supplements, aspirin, or
other blood thinning medications. You may need to stop taking
these medications several days before your surgery.
Your Operation Details
Please look at the chart on page 4 for when to call us before your
operation. A nurse will call you back with instructions. If you are
not able to answer the return call and have an answering machine,
the nurse will leave a message. The anesthesia care provider may
call you the night before your operation. If not, they will talk to you
the day of your surgery.
Your Arrival
You have been asked to arrive two hours before surgery to allow
time for the physicians and nurses to prepare you for surgery.
Once you are in the preoperative area, you will change into a
hospital gown, socks, and cap. A nurse will give you a bag for your
clothing. The nurse will then ask you some questions and take
any paperwork you brought. At this time, let the nurse know of
any special needs you have. The nurse will check your vital signs
and start an intravenous (IV) line for fluids and medications. The
anesthesia care provider will review your anesthetic plan at this
time also. Your operating room nurse or anesthesia care provider
will take you from the preoperative area to the operating room.
Here you will move onto the operating bed.
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Family & Friends
One family member or friend can come with you to the preoperative area. This person
may be asked to leave when preoperative procedures begin. Any other family members
or friends should check in with the Surgical Family Waiting Room clerk. This is where the
surgeon will speak with them after your operation.
Inpatients - After your operation, the Surgical Family Waiting Room clerk will tell your
family where you have been admitted. It is likely that one family member or friend will be
able to visit you in the Post Anesthesia Care Unit (PACU).
Outpatients - You will be able to see your family member or friend when you return to the
outpatient area.
You must have a responsible adult family member or friend to drive you home. If you
are an outpatient, we request that this person remain at the hospital during your entire
visit. This person needs to be available as soon as you are ready to be discharged. You
cannot drive yourself home after your operation. A bus or cab is not acceptable, unless
someone you know is with you. We recommended that a responsible adult remain with
you for 24 hours after surgery.
Friends and family are welcome to access our free wireless internet during their time
here. Please advise your family not to come to the hospital if they are sick. Cell phones
are allowed except in the preoperative and postoperative care unit. All cell phones must
remain a minimum of 12 inches away from any medical device.
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After Your Operation
After Operation
Inpatients - Once you have recovered from your anesthesia, you
will be taken to your hospital room. Your family may visit you here.
Your family should check with the nurse for visiting hours.
Outpatients - The amount of time you need to stay after your
operation depends on the type of operation, anesthetic, and your
medical history.
Infection Control
Hand washing is the number one way to prevent infections and the
spread of germs. All healthcare providers are required to cleanse
their hands both before and after entering a patient room. If you ever
see a healthcare provider not cleansing their hands before entering
your room, we encourage you to speak up and ask them to clean their
hands. Also, please make sure you and your visitors practice hand
cleansing whenever entering and exiting your hospital room.
Nausea and Pain Management
One of our primary goals is to help you manage your pain.
When you wake up after surgery, you may be receiving IV pain
medication. At some point you may also be given pills. You will
be asked to describe your nausea and pain using a number scale.
Please inform your health care provider if you feel uncomfortable.
It is normal to have some pain and nausea after your operation.
Your pain level will decrease during the healing process.
0 1 2 3 4 5 6 7 8 9 10
No
pain
Moderate
pain
Worst
possible
pain
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Discharge Instructions
If you are an inpatient, ask your doctor about your anticipated discharge day. Discharge
time from the hospital for inpatients is 11:00 a.m. Please have transportation available at
that time.
If you would like a family or friend with you during your discharge instructions, please
make plans for them to be there the morning you are leaving.
Our discharge planners meet with anyone who requires special care or supplies. If you
think you will need these services and have not been contacted, please tell your nurse.
Before discharge you will:
0et up and walk a short distance if your condition allows
e given a discharge instruction sheet
e given prescriptions your doctor wants you to take houe
e assisted to your vehicle if necessary
e instructed regarding follow up care
If you have questions at any time, please ask your doctor or nurse.
Discharge Prescriptions
Your prescriptions may be filled at a UMHS Outpatient Pharmacy or at your own pharmacy.
The hospital pharmacy requires payment when you have your prescription filled. If you
have insurance coverage for medications, please bring your card.
Ambulatory Care Pharmacy
In the main entrance of
University Hospital, first
floor across from the lobby
Monday-Friday: 9am-6pm
Saturday: 9am-4:30pm
734-936-8260
East Ann Arbor (EAA)
Health Center Pharmacy
In the EAA Health Center
4260 Plymouth Road
Monday-Friday: 9am-5:30pm
Saturday: 9am-1pm
734-647-5705
Cancer Center Pharmacy
Located on 1 in the
Cancer Center.
Monday-Friday: 9am-5:30pm
734-647-8911
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Home Care
Home Recovery
Liuit your activities for at least 21 hours after your operation
o not drive for at least 21 hours after your operation
egin ueals with clear liquids and progress to solid foods as they are tolerated
Take your uedications as prescribed
Avoid using electric appliances, operating uachinery, and signing legal docuuents
Your discharge instruction sheet will have more information regarding at home care.
Questions at Home
A nurse from the Post Anesthesia Care Unit (PACU) will call you the morning of the next
business day after your operation.
If you have problems or questions, please see your discharge instruction sheet. Call your
doctor or the paging operator if you have additional questions. If you do not have your
doctors phone number, the paging operator can be reached at 734-936-6267. A doctor is
available to help you 24 hours a day, 7 days a week.
Please contact us if you are having serious side effects.
U-M Home Care Services
The following services are available to help inpatients and outpatients with their transition from
hospital to home care. Please talk with your health care team about the services you may need
at home.
HomeMed: home infusion provider and licensed pharmacy
734-975-3006 or 800-862-2731
MedEQUIP: durable medical equipment, medical supplies and respiratory services
734-971-0975 or 800-530-0714
Michigan Visiting Care: private duty nursing and home health aide services, house
calls, immunizations 734-477-7298 or 800-822-7298
Michigan Visiting Nurses: visiting nurse, rehabilitation, and social work services
734-677-1515 or 800-842-5504
Wheelchair Seating Service: professionally fitted wheelchairs and custom mobility products
734-528-7888 or 877-868-8889
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Whos Who
Attending (MD): an experienced physician
in charge of the medical team and patient
care
Hospitalist (MD): an experienced
physician that specializes in the care
of inpatients
Fellow (MD): a physician who has
graduated from medical school,
completed a residency and is specializing
in one particular area of medical care
Resident/House Officer (MD): a
physician-in-training who has graduated
from medical school and completed an
internship
Intern (MD): a physician-in-training who
has graduated from medical school
Physician Assistant (PA): PAs have
advanced education and work under the
supervision of physicians, performing
some of the same functions as MDs
Nurse Practitioner (NP): a registered
nurse who has advanced training and
education enabling them to provide a
broad range of health care services
Nurse Manager (RN): a registered nurse
with around-the-clock responsibility for
the unit operations
Nurse Supervisor (RN): a registered nurse
responsible for daily supervision of unit
employees, unit operations and clinical
leadership; reports to nurse manager
Charge Nurse (RN): a registered
nurse who is responsible for the daily
management of the unit, serves as
a resource to other staff nurses and
reports to the nurse manager; the charge
nurse may change on a daily basis
Registered Nurse (RN): a person who is
educated and licensed by the state to
provide nursing care
Certified Registered Nurse Anesthetist
(CRNA): advanced practice nurse who
specializes in anesthesia care
Clinical Nurse Specialist (CNS): a
registered nurse with advanced
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education who has clinical leadership
responsibilities related to nursing care
of patients, education, and quality
improvement
Nurses Aid Tech: unlicensed staff who
assists registered nurses with patient care
Nursing Assistant: a person in nursing
school who assists nurses and medical
professionals
Dietitians (RD): a professional who
assesses a persons special nutrition
needs and designs diet plans to meet
these needs
Discharge Planner: a person who
coordinates equipment needs and
ongoing treatments for patients
returning home or entering long-term
care facilities
Occupational Therapist (OT): a
professional who helps maximize a
persons ability to care for themselves
with therapy and devices
Physical Therapist (PT): a professional
who treats injury or dysfunction
with exercises, therapy, and medical
equipment to improve movement and
strength
Social Worker (MSW): a professional
who provides counseling and identifies
resources to help patients and families
cope with issues related to illness
Dietitians (RD): a professional who
assesses a persons special nutrition
needs and designs diet plans to meet
these needs.
Clinical Psychologist (PhD): a
professional who provides mental,
emotional, and social health care
Unit Host/Service Coordinator: a staff
member who can assist you with all
nonmedical needs such as finding your
way around the hospital and connecting
you with resources
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For Your Convenience
Patient Visitor Accommodations
This service is available 24 hours a day, 7 days a week to help you find a room in Ann Arbor at
a low cost. All questions and requests must go through Patient Visitor Accommodations. They
can be reached at 800-544-8684 or 734-936-0135 or by visiting www.med.umich.edu/hotels.
Lost & Found
lf you lose anything during your stay, please call the Lost & Found office at 731-93-7890. lf
you find something that does not belong to you, please give it to your nurse or call security at
734-936-7890.
ATM
There are two ATMs located on Level 2 of university hospital. 0ne is located at the hallway
intersection between Mott Hospital and University Hospital. The other is located next to the
cashier's office, down the hall frou the Friends 0ift Shop.
Gift Shops
If you would like to purchase gifts, magazines, cosmetics, candy, toys, games, books, cards,
clothing, or flowers, please visit one of the University of Michigan Health System volunteer-
staffed gift shops.
0ift shop purchases support friends which funds patient education initiatives, 0ifts of Art, and
other programs.
The Friends Gift Shop
at University Hospital
Taubman Center
Located next to the hospital
Cafeteria on Level 2
734-936-5975
The Carousel Gift Shop
at C.S. Mott Childrens
Hospital & Von Voigtlander
Womens Hospital
Located in Foou 2-772,
adjacent to Wayne & Shelly
Jones Family Center
734-763-2507
The Friends with a Heart
Gift Shop at the U-M
Cardiovascular Center
Located on the atriuu
level of the Cardiovascular
Center near the food court
734-232-4118
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Parking & Directions
When you park in a structure, write the space number that you parked
in on your parking ticket. Each parking space is numbered. Your parking
ticket will be stamped in the surgery waiting room if you have parked in
a structure. The stamped ticket will give you a lower parking rate. Valet
parking is available for a fee. For more information, including hours,
locations, and current fees, call Valet Parking at 734-936-6641.
Disabled Parking and other Special Needs
For additional information on parking, including information on disabled parking, recreational
vehicles, discount parking and MRI special needs parking, please visit www.pts.umich.edu or
call Parking and Transportation 734-764-7474.
Directions from the North
Take uS-23 South to the 0eddes Fd. exit 39.
Turn right onto 0eddes. Continue on 0eddes
for approxiuately two uiles. 0eddes becoues
Fuller. Continue on Fuller for another two miles.
To go to the Medical Center turn left at the
traffic light at E. Medical Center Dr. Follow the
signage on your right and overhead go past the
Cancer Center (Farking Lot ) and EF. Taubuan
university hospital and Mott (Farking Lot A) will
be on your right.
Directions from the South
Take uS-23 North to 0eddes Fd. exit 39. Turn
left onto 0eddes. Continue on 0eddes for
approxiuately two uiles. 0eddes becoues
Fuller. Continue on Fuller for another two miles.
To go to the Medical Center turn left at the
traffic light at E. Medical Center Dr. Follow the
signage on your right and overhead past the
Cancer Center (Farking Lot ) and EF. Taubuan,
university hospital, and Mott (Farking Lot A) will
be on your right.
Directions from the East
Take l-91 West to uS-23 North exit 180 to
0eddes Fd. exit 39. Turn left onto 0eddes.
Continue on 0eddes for approxiuately two
uiles. 0eddes becoues Fuller. Continue on
Fuller for another two miles. To go to the
Medical Center turn left at the traffic light at
E. Medical Center Dr. Follow the signage on
your right and overhead past the Cancer Center
(Farking Lot ) and EF. Taubuan, university
Hospital, and Mott will be on your right.
Directions from the West
Take I-94 East to Ann Arbor exit 172. This
merges into Jackson Road, which becomes
Huron St. Continue two and a half miles East
through downtown. At the traffic light at Huron
and 0len, turn left onto 0len. After one block on
0len turn right at the traffic light on E. Ann St.
0o two blocks and bear right onto 0bservatory.
Follow the signage on your right and overhead
go past the Cardiovascular Center (Farking Lot
C). Turn left off of Observatory at the traffic light
onto E. Medical Center Drive to Mott, University
hospital, Taubuan, and the EF (Farking Lot A).
Maps

Ann
1
2
1. Ann Arbor area
2. U-M Medical Campus
1500 E. Medical Center Drive
Ann Arbor, MI
3. East Medical Campus
4270 Plymouth Road
Ann Arbor, MI
4. Dominos Farms
24 Frank Lloyd Drive
Ann Arbor, MI
5. Livonia Specialty Care Center
19900 Haggerty Road
Livonia, MI
Door-to-door maps, building floor maps and parking tips are available at
www.uofmhealth.org click on Maps & Directions
Maps

Ann
Whitehall Rd.
23
Exit 41
North
14
E
a
r
h
a
r
t
R
d
.
Plymouth Rd.
North
Plym
outh Road
E
a
r
h
a
r
t

R
o
a
d
To US-23
Exit 41
To Domino s Farms
Patient Entrance
Patient Parking
Patient Parking
96
96
275
3
4
5
Door-to-door maps, building floor maps and parking tips are available at
www.uofmhealth.org click on Maps & Directions
8 Mile
Schoolcraft College
7 Mile
H
a
g
g
e
r
t
y
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NOTES

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Phone Call Form

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